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P'ASCO COUNTY, FLORIDA <br /> - -- Permit No. 8616 <br /> Date Permitted <br /> Builder Name/Owner Name G �— Control# <br /> County Parcel No, j�"2 2%�'t�L� _ �bDiV: <br /> Address/Location <br /> 1 <br /> Classification/Type of Use <br /> i! TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Za7'Z(1P <br /> i' <br /> Exempt ❑ Yes ❑ No How Determined <br /> ! Impact Fee Amount $. �3)(P c32 Zone No, TAZ: <br /> { SCHOOL IMPACT FEE <br /> Account (056) Single-Family Detached House Amount $ <br /> (057) Mobile Home <br /> (058) Other Residential <br /> } 123) Collection Fee <br /> ,i <br /> Exempt F�Yes ❑ No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation Total <br /> 5 Zone TOTAL AMOUNT $ <br /> Exempt ❑Yes ❑ No How Determined <br /> i <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> I <br /> Exempt ❑ Yes ❑ No How Determined Total Amounf_ <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By _ Checked By <br /> U. <br /> NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br /> BEEN PAID AND <br /> RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing . <br /> the building permit owner on notice of this assessment and the conditions of payment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br /> • s <br /> t <br />